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Individual

MISS MEGAN D BIRCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-3510
Mailing address
215 MYRTLE ST, CRESTON, IA 50801-3024

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
090681
IA
2255A2300X
Athletic Trainer
2014031704
MO

Other

Enumeration date
08/16/2018
Last updated
08/16/2018
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